Liposuction is currently the most frequently performed aesthetic operation in the world. Despite its wide-spread popularity, it should nevertheless be stated that it is not trivial surgery, not always benign and not as safe as intimated in the glossy office brochures. Since the initial description of liposuction, numerous changes have taken place. Today, surgical indications are well defined and the liposuction procedure is well codified. However, several surgeons and manufacturers have developed new equipment and techniques. We propose to survey all the techniques showing the real place of each of them. Their advantages and disadvantages will be discussed. The various techniques dealt with are: the wetting solution techniques, standard liposuction or Suction-Assisted Lipoplasty (SAL), internal Ultrasound-Assisted Liposuction (iUAL), VASSER assisted liposuction, external Ultrasound-Assisted Liposuction (eUAL), Laser-Assisted Liposuction (LAL), Power-Assisted Liposuction (PAL) and Vibroliposuction (VL). On the basis of this review of the literature and of our clinical experience, we conclude that VL is the safest, most effective and precise surgery that can be used in any of the modern indications for liposuction. We concluded that VL seems to have all the advantages and none of the disadvantages associated with iUAL.
A 62-year-old female underwent a Computed Tomography (CT)-guided percutaneous lung biopsy for a suspicious right upper lobe nodule. After biopsy, the patient was repositioned from prone to supine position on the CT table and presented immediately with acute thoracic pain radiating to the jaws, general discomfort and nausea. Supportive care (high flow oxygen therapy) was administered and a control chest CT depicted air emboli in the aortic bulb (Figure 1a), in the right coronary artery (Figures 2a-b) and in the right m arginal artery (Figure 3a-3b). Oxygen therapy was continued and antalgic treatment was introduced. The patient was admitted to the Coronary Care Unit for close surveillance and immobilization. No myocardial ischemia was seen on echocardiography, neither cardiac enzyme elevation nor electrocardiographic modifications were seen.
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